Minimally invasive management for a giant lumbar intervertebral disc herniation: A case report, and literature review

Molina-Martínez, Rodolfo Pedro; Betancourt-Quiroz, Carlos; Dueñas-Espinoza, Mario Alberto; Vega-Moreno, Daniel Alejandro; López-Valdés, Julio César; García-González, Ulises

doi:10.1016/j.ijscr.2021.105843

Cited by 2 publications

(3 citation statements)

References 9 publications

(2 reference statements)

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“…Current evidence suggests that acupuncture has significant advantages in the treatment of acute low back pain caused by LDH, with fewer side effects, significant analgesic effects, and superior clinical outcomes compared with other conservative therapies such as non-steroidal anti-inflammatory drug therapy and lumbar traction (8,9).…”

Section: Discussionmentioning

confidence: 99%

“…However, it’s worth noting that acupuncture doesn’t always demonstrate effectiveness in all cases, even when combined with other conservative therapies ( 10 , 11 ). In addition, achieving recovery with acupuncture as monotherapy is considered challenging, as its effects are typically thought to be likely to be slower to emerge in LDH patients, let alone when faced with a complex LDH case ( 12 ).…”

Section: Discussionmentioning

confidence: 99%

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Case report: Spontaneous regression of extruded lumbar disc herniation with acupuncture therapy

Liang,

Huang

2024

Front. Neurol.

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Most patients with lumbar disc herniation (LDH) derive benefit from conservative treatment, prompting growing global interest in non-surgical approaches. Despite being recognized as one of the effective conservative therapies, there is currently limited evidence to support the sole efficacy of acupuncture in treating patients with acute extruded LDH. Here we report the case of a 52-year-old male who presented with low back pain and persistent radiating lower limb pain and numbness. Physical examination and magnetic resonance imaging (MRI) revealed an extruded LDH at the L5/S1 level, compressing the nerve root and causing severe radiculopathy symptoms. After 23 days of continuous inpatient acupuncture treatment, followed by 5 intermittent outpatient acupuncture treatment over 2 months, patient’s pain and numbness was significantly alleviated and a followed-up MRI showed a remarkable regression of the extruded disc fragment. In this case, acupuncture as a monotherapy is safe and effective, but more conclusive evidence is needed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Case report: Spontaneous regression of extruded lumbar disc herniation with acupuncture therapy

Liang,

Huang

2024

Front. Neurol.

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“…With the change of lifestyle, the incidence of LDH is gradually getting younger, the recurrence rate of the disease is high, there is significant pain and daily activity restriction. The quality of life and economic status of patients are seriously affected (17). Clinical surgery in the treatment of LDH with percutaneous disc resection under endoscopic treatment, can effectively reduce bleeding and postoperative infection, but in the same channel in observation and instrument operation, due to the complexity of vertebral body structure, blood vessels and nerves, difficult to completely remove free nucleus pulposus tissue, in the process of operation, a surgical instrument is small, the operation experience of high technical requirements, Especially for the treatment of ligamentum flavum and bone form of the sympathetic pit, the failure rate is high (18).…”

Section: The Evaluation Value Of Il-6 Il-10 and Pge2 In The Postopera...mentioning

confidence: 99%

The role of IL-6, IL-10, and PGE2 in the treatment of intervertebral disc herniation by dual-channel endoscopic lumbar discectomy

Zhang

2022

Cell Mol Biol (Noisy-le-grand)

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is the This study aimed to explore the role of IL-6, IL-10, and PGE2 in the treatment of intervertebral disc herniation with dual-channel endoscopic lumbar discectomy. For this purpose, we selected 182 patients with intervertebral disc herniation in our hospital and randomly divided them into the control group and the study group according to the order of admission, of which 85 cases were in the control group, 97 cases in the study group, and control group was treated with conventional lumbar discectomy; the study group was treated with dual-channel spine endoscopic lumbar discectomy to observe and compare the operation-related indexes, lumbar function indexes, clinical effects, serum-related indexes and the evaluation value of the two groups of patients. Results showed that the operation time, incision length, intraoperative blood loss, hospital stay, and postoperative pain scores of the study group were lower than those of the control group (p<0.05); the ODI and RMQ scores of the study group after treatment were lower than those of the control group (P<0.05). The excellent and good rate of the study group was 89.69% higher than that of the control group 77.65% (p<0.05); the levels of IL-6 and PGE2 in the study group after treatment were lower than those of the control group, and the IL-10 level was higher than that of the control group. (P<0.05); Using the lumbar spine function score as the comparison standard: IL-6, IL-10, PGE2 for the evaluation value of dual-channel endoscopic lumbar discectomy for the treatment of intervertebral disc herniation: sensitivity 96.18%, specificity 96.27%, the accuracy of 97.06% was higher than the single diagnosis result (P<0.05. It is worthy of clinical promotion. IL-6, IL-10, PGE2 predict dual-channel spine Endoscopic lumbar discectomy for the treatment of intervertebral disc herniation has high prognostic sensitivity and accuracy, which can provide references for clinical treatment and prognostic medication.

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Minimally invasive management for a giant lumbar intervertebral disc herniation: A case report, and literature review

Cited by 2 publications

References 9 publications

Case report: Spontaneous regression of extruded lumbar disc herniation with acupuncture therapy

Case report: Spontaneous regression of extruded lumbar disc herniation with acupuncture therapy

The role of IL-6, IL-10, and PGE2 in the treatment of intervertebral disc herniation by dual-channel endoscopic lumbar discectomy

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